Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

San Jose Imaging Center LLC

Organization Radiology Clinic/Center · NPI 1083802805

San Jose Imaging Center LLC is a Radiology Clinic/Center in Jacksonville, Florida. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10696 Old Saint Augustine Rd
Jacksonville, FL 32257-1000
Phone: (904) 268-1080
Fax: (904) 268-3060
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Radiology Clinic/Center (primary) Taxonomy 261QR0200X

Record details

NPI number1083802805
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Paul Stanley — Ceo · (813) 690-5720
Other names Innovative Imaging Jacksonville
NPI enumeratedOctober 5, 2007
Last updated in NPPESOctober 5, 2020
Certification dateOctober 5, 2020
Mailing addressPo Box 270543, Tampa, FL 33688-0543

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